Ilaaj Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

ILAAJ PHYSICAL THERAPY

Practice address

18801 Ventura Blvd Ste 305
Tarzana, CA 91356-3362

Phone

(818) 723-8280

NPI assigned

Dec 10, 2024

Last updated

Dec 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shabnum Brar, MPTNPI 1184830952

Title

Physical Therapist

Phone

(818) 723-8280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shabnum Puri Brar, M.P.T.

  • Orthopedic Physical Therapist
  • Tarzana, CA
  • NPI 1184830952
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1932915246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10812 DELCO AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111732",
            "telephone_number": "818-723-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18801 VENTURA BLVD STE 305",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563362",
            "telephone_number": "818-723-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILAAJ PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "SHABNUM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "818-723-8280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.